The nurse administers the flu vaccine to a school-age child. Which should the nurse include in the documentation for the administration of this vaccine? Select all that apply
1. The date of the last flu vaccine
2. The site of the vaccination
3. The lot and serial number of the vaccine
4. The date and time of administration.
5. Who assisted in restraining the child
2, 3, 4
Explanation:
1. This information is not pertinent.
2. The site should be recorded.
3. This information should be recorded in case a problem develops.
4. This should be recorded.
5. This information is not pertinent.
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The nurse is educating parents of a 2-month-old about immunizations. What immunizations against illness should their child receive? (Select all that apply.)
a. Pertussis (whooping cough) b. Influenza c. Diptheria d. Tetanus e. Polio
The nurse instructs a client about the need to limit the intake of saturated fats. Which diet selection by the client indicates that teaching has been effective?
a. Macaroni and cheese b. Beef taco with refried beans c. Peanut butter and jelly sandwich d. Bacon, lettuce, and tomato sandwich
A patient, diagnosed with several fractured vertebra, is having surgical stabilization. Which of the following will be included with this surgery?
1. spinal fusion with rod insertion 2. insertion of spinal tongs 3. halo device 4. application of a hard cervical collar
A client is unable to perform a simple math calculation during a neurological examination. Which action should the nurse take?
A. Administer a different set of math problems. B. Ask the client what grade they completed in school. C. Verbally assess the client's ability to calculate a problem. D. Continue assessing the other cognitive domains.